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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
~(}.M~l()~ COUNTY, PENNSYLVANIA
Name of Decedent: ': c;{~~ \\J ~ . V ~~t~6^j
Date of Death: ~- ~ - 1Loa\.o ileNum : 'JOGto - DGQC>D..
Date Letters Granted: \ () - \<.0 - '2...0C3{O
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule S.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
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Address:
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(Ifmore space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. a.c. Rule 5.6(a) except:
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Capacity: ~ Personal Representative 0 Counsel
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Name 01 Person Filing this Form
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Address
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Form RW-08 rev. 10.13.06
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